DrugEvidence

Drugs / Letrozole

Letrozole

Drug

Letrozole is an aromatase inhibitor and antiestrogen used mainly for hormone receptor-positive breast cancer in postmenopausal women. It is marketed under the brand name Femara and used in adjuvant, extended adjuvant, and advanced disease settings. The U.S. approval history begins in the 1990s.

Trials
670
Recruiting
87
Completed
304
With results
165

Last revised

Pipeline

Phase by status

PhaseRecruitingNot yetBy invitationActiveCompletedTerminatedWithdrawnSuspendedUnknownNo longer availableTotal
Early Phase 1 27221 14
Phase 1 6530542 52
Phase 1/2 92311217 35
Phase 2 321113010432529 244
Phase 2/3 321324 24
Phase 3 22312358102120 140
Phase 4 412277512 58
Not applicable 741372216 69
Unknown 22117111 34

Trials started per year

2021
16
2022
45
2023
38
2024
31
2025
38
2026
23

Conditions studied, by phase

ConditionEarly Phase 1Phase 1Phase 1/2Phase 2Phase 2/3Phase 3Phase 4Not applicableUnknownTotal
Breast Neoplasms 72822168692201226 381
Polycystic Ovary Syndrome 322116152 41
Infertility 1131289 34
Neoplasm Metastasis 5417222 23
Endometrial Neoplasms 313411 22
Ovarian Neoplasms 21111 15
Neoplasms 214313 14
Carcinoma, Intraductal, Noninfiltrating 11421 9
Infertility, Female 1224 9
Fallopian Tube Neoplasms 152 8

Most active sponsors

#SponsorTrialsPhase 3
1Novartis Pharmaceuticals4617
2Pfizer215
3Fudan University126
4M.D. Anderson Cancer Center110
5Cairo University103
6Dana-Farber Cancer Institute100
7Assiut University93
8Eli Lilly and Company94
9Mayo Clinic80
10University of Washington80

Most studied interventions

#InterventionTrials
1Letrozole670
2Anastrozole157
3exemestane119
4Tamoxifen97
5Fulvestrant94
6palbociclib83
7ribociclib52
8abemaciclib44
9Aromatase Inhibitors43
10Trastuzumab41

Evidence

Results reported
54.3%165 of 304 completed
Published
16.8%51 of 304 completed
Primary endpoint met
57.4%35 of 61 analyses
Median months to report
14

Documents disclosed

Protocol available
102
Statistical analysis plan
101
PubMed citations
203

Trial profile

Median enrollment
100
Median duration
51months
Countries
79
Study sites
12772

Who is enrolled

Adults
654
Children
32
Older adults
515
Healthy volunteers
62

Median enrollment by phase

Early Phase 1
27
Phase 1
44
Phase 1/2
79
Phase 2
65
Phase 2/3
66
Phase 3
423
Phase 4
100
Not applicable
80
Unknown
200

Where trials run

United States
275
China
112
France
76
Spain
76
Italy
67
Germany
62
Canada
57
United Kingdom
56
South Korea
54
Egypt
48

Busiest cities

#CityCountryTrials
1BostonUnited States76
2HoustonUnited States76
3New YorkUnited States70
4MadridSpain63
5BarcelonaSpain61
6NashvilleUnited States58
7SeoulSouth Korea52
8ValenciaSpain52
9Los AngelesUnited States50
10ChicagoUnited States49

Terminations

Terminated
62
Withdrawn
21
Suspended
1
Stopped for recruitment
4.3%29 of 670 trials

Stated reasons

Other / unclear
30
Recruitment
29
Safety
9
Funding
7
Business decision
3
Lack of efficacy
3
Regulatory
2
COVID-19
1

Reasons are grouped from the sponsor's own wording with a rule-based classifier; the original text is shown below.

Recently stopped

TrialStatusStated reasonStopped
NCT06671912 Suspended Suspended Amending protocol to increase sample size 2031-11-30
NCT07570966 Withdrawn Withdrawn Business decision 2031-08-01
NCT04220476 Withdrawn Withdrawn Initiating a new study with revised Statistics. 2028-12-31
NCT04321551 Withdrawn Withdrawn study not funded in previous iteration. new clinicaltrials.gov protocol submitted for funded version of study 2028-12-31
NCT04316169 Withdrawn Withdrawn Funding and PI leaving institution 2028-01-31
NCT05238831 Withdrawn Withdrawn Withdrawn due to a change in therapeutic interventions. 2026-05-31
NCT05183828 Terminated Terminated Study ended earlier than anticipated due to end of funding. 2026-05-13
NCT05207709 Terminated Terminated The study was prematurely halted because enrollment was significantly delayed compared with the original projections due to the evolving therapeutic landscape. 2026-03-26
NCT06630325 Terminated Terminated Loss of support. 2026-03-11
NCT05454358 Terminated Terminated No enough participants 2025-12-01

Trial records

Individual study records live on ClinicalTrials.gov. A sample of the trials counted above:

Search all Letrozole trials on ClinicalTrials.gov →